Abstract

Distress is a frequently used concept, conveying a variety of meanings. Clear definitions are needed to promote common understanding, effective communication, and the development of solutions. One occupation in which workers disproportionately report distress is the construction industry. To implement effective models of care, a construction industry specific definition of distress is needed. Face-to-face consultations, qualitative interviews and a voluntary follow-up online survey were conducted with a purposively derived sample of construction industry stakeholders from across Australia (Total N = 56). Based on qualitative analysis of content and themes, we developed and tested a definition of distress as: “an emotional state in which individuals feel that they are not in control, overwhelmed, or are unable to cope.” Findings highlight that distress is a complex issue that can have both personal and work-related causes. Workplace culture, awareness and trust are critical factors in creating a safe environment and supporting individuals who are experiencing distress. Confidentiality and privacy are also important factors that influence disclosure and help uptake. Reducing distress may be explicitly achieved by offering appropriate coping strategies and actions for individuals to regain control and agency; however, a safe and supportive help-offering environment is a prerequisite for promoting help-seeking, and help-uptake behaviors.

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